Laserfiche WebLink
Amon Laboratories Sample Receipt Checklist <br /> Cfient Name ATC Associates, Inc Date&Time Received 1215!2003 13 <br /> Protect Name N&S Irrigation Client Project Number 54 14981 0001 <br /> Received By H C Matrix Water ❑ Soil ❑ <br /> Sample Carrier Client ❑ Laboratory ❑ Ped Ex ❑ UPS ❑ Other ❑ <br /> ' Argon Labs Project Number D12191 <br /> Shipper Container in good condition? Samples received in proper containers? Yes ❑ No ❑ <br /> N!A Yes [] No ❑ Samples received intact) Yes ❑ No ❑ <br /> Samples received under refrigeration? Yes No ❑ Sufficient sample volume for requested tests? Yes 0 No ❑ <br /> Chain of custody present'? Yes ❑ No ❑ Samples received within holding time? Yes ❑ No ❑ <br /> Chain of Custody signed by all parties) Yes No ❑ Do samples contain proper preservative? <br /> ' NIA ❑ Yes [] No ❑ <br /> Cham of Cusiody matches alf sample labels? Do VOA vials contain zero headspace? <br /> ' Yes ❑ No ❑ (None submitted ❑ J Yes ❑ No ❑ <br /> _ANY"No"RESPONSE MUST BE DETAILED IN THE COMMENTS SECTION BELOW <br /> Date Client Contacted Person Conacted <br /> Contacted By Subject <br /> Comments <br /> Action Taken <br /> ADDITIONAL TEST(S)REQUEST!OTHER <br /> Contacted By Date Time <br /> ' Call Received By <br /> Comments <br /> s <br />